An 80-y/o African American female weighing 90

An 80-y/o African American female weighing 90 kg presents with 10/10 chest pain/pressure. Her EKG shows ST-segment depression in multiple leads. PMH significant for HTN and CKD. Labs show troponin of 5.8 ng/L, SCr 3.7 mg/dL w/eCrCl of ~ 20 mLs/min. Pt was given ASA 325 mg x1 and nitro drip started at 10 mcg/min. After getting some maintenance IVF for hydration, pt is brought to cath lab. What anticoagulation strategy is most appropriate for this pt? Fondaparinux 2.5 mg subq daily Enoxaparin 90 mg subq q12h Heparin 4000 unit bolus x1 then 1000 unit/hr continuous infusion Bivalirudin 67.5 mg bolus then 157 mg/hr continuous infusion SCIENCE HEALTH SCIENCE NURSING NURS 5102

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